Release 4B Snapshot 3: Connectathon 32 Base

This page is part of the Snapshot #3 for FHIR Specification (v4.3.0: R4B - STU ). The current version which supercedes this version is 5.0.0 R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Observation-example-bloodpressure-cancel.ttl

Example Observation/blood-pressure-cancel (Turtle)

Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification )

Blood Pressure Measurement cancelled 

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Observation/blood-pressure-cancel> a fhir:Observation;

[a fhir:Observation;

  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "blood-pressure-cancel"];

  fhir:Resource.id [ fhir:value "blood-pressure-cancel"]; # 

  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/vitalsigns";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/StructureDefinition/vitalsigns>
     ]
  ];

  ]; # 

  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource &quot;blood-pressure-cancel&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>identifier</b>: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>status</b>: cancelled</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Blood pressure systolic &amp; diastolic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85354-9 &quot;Blood pressure panel with all children optional&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2012-09-17</p><p><b>performer</b>: <a href=\"practitioner-example.html\">Practitioner/example</a> &quot;Adam CAREFUL&quot;</p><p><b>interpretation</b>: Below low normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#L &quot;low&quot;)</span></p><p><b>note</b>: In this example, the blood pressure measurements are not available due to cancellation of the order.  Data absent reason is present for each component</p><p><b>bodySite</b>: Right arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#368209003)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8480-6; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#271649006; clinical-codes#bp-s &quot;Systolic Blood pressure&quot;)</span></p><p><b>dataAbsentReason</b>: Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8462-4)</span></p><p><b>dataAbsentReason</b>: Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></p></blockquote></div>"
  ];

     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"blood-pressure-cancel\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;blood-pressure-cancel&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>identifier</b>: <span title=\" 	EH  Narrative created by build\n	&lt;text&gt;\n		&lt;status value=&quot;generated&quot;/&gt;\n		&lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)&lt;/div&gt;\n	&lt;/text&gt;\n \">id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</span></p><p><b>status</b>: cancelled</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Blood pressure systolic &amp; diastolic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85354-9 &quot;Blood pressure panel with all children optional&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2012-09-17</p><p><b>performer</b>: <a href=\"practitioner-example.html\">Practitioner/example</a> &quot;Adam CAREFUL&quot;</p><p><b>interpretation</b>: <span title=\"  an interpretation offered to the combination observation\n        generally, it would only be appropriate to offer an interpretation\n        of an observation that has no value if it has &quot;COMP&quot; (component)\n        observations  \">Below low normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#L &quot;low&quot;)</span></span></p><p><b>note</b>: In this example, the blood pressure measurements are not available due to cancellation of the order.  Data absent reason is present for each component</p><p><b>bodySite</b>: <span title=\"  for an observation with components, these cannot disagree with the flags on the components  \">Right arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#368209003)</span></span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\" \n           Observations are often coded in multiple code systems.\n           - LOINC provides a very specific code (though not usefully more specific in this particular case)\n           - snomed provides a clinically relevant code that is usually less granular than LOINC\n           - the source system provides its own code, which may be less or more granular than LOINC\n	 this instance shows the concept. The other codes only have a LOINC code  \">Systolic blood pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8480-6; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#271649006; clinical-codes#bp-s &quot;Systolic Blood pressure&quot;)</span></span></p><p><b>dataAbsentReason</b>: <span title=\"  no value due to some error\n    &lt;valueQuantity&gt;\n      &lt;value value=&quot;107&quot;/&gt;\n      &lt;unit value=&quot;mm[Hg]&quot;/&gt;\n    &lt;/valueQuantity&gt;\n \">Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8462-4)</span></p><p><b>dataAbsentReason</b>: <span title=\"  no value due to some error\n    &lt;valueQuantity&gt;\n      &lt;value value=&quot;60&quot;/&gt;\n      &lt;unit value=&quot;mm[Hg]&quot;/&gt;\n    &lt;/valueQuantity&gt;\n \">Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></span></p></blockquote></div>"
  ]; #   	EH  Narrative created by build
	<text>
		<status value="generated"/>
		<div xmlns="http://www.w3.org/1999/xhtml">Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div>
	</text>
  

  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" ]
  ];
  fhir:Observation.status [ fhir:value "cancelled"];

  ]; # 
  fhir:Observation.status [ fhir:value "cancelled"]; # 

  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "vital-signs" ];
       fhir:Coding.display [ fhir:value "Vital Signs" ]
     ]
  ];

  ]; # 

  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:85354-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "85354-9" ];
       fhir:Coding.display [ fhir:value "Blood pressure panel with all children optional" ]
     ];

     ]; #    replaced by 85354-9\n		<coding>\n			<system value=\"http:\/\/loinc.org\"\/>\n			<code value=\"85354-9\"\/>\n			<display value=\"Blood pressure systolic &amp; diastolic\"\/>\n		<\/coding>\n  

     fhir:CodeableConcept.text [ fhir:value "Blood pressure systolic & diastolic" ]
  ];

  ]; # 

  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;

     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2012-09-17"^^xsd:date];

  ]; # 
  fhir:Observation.effectiveDateTime [ fhir:value "2012-09-17"^^xsd:date]; # 

  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Practitioner/example>;

     fhir:Reference.reference [ fhir:value "Practitioner/example" ]
  ];

  ]; # 

  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "L" ];
       fhir:Coding.display [ fhir:value "low" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Below low normal" ]
  ];

  ]; #    an interpretation offered to the combination observation
        generally, it would only be appropriate to offer an interpretation
        of an observation that has no value if it has "COMP" (component)
        observations   

  fhir:Observation.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "In this example, the blood pressure measurements are not available due to cancellation of the order.  Data absent reason is present for each component" ]
  ];

  ]; # 

  fhir:Observation.bodySite [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:368209003;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "368209003" ];
       fhir:Coding.display [ fhir:value "Right arm" ]
     ]
  ];

  ]; #    for an observation with components, these cannot disagree with the flags on the components   

  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:8480-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "8480-6" ];
         fhir:Coding.display [ fhir:value "Systolic blood pressure" ]
       ], [
         fhir:index 1;
         a sct:271649006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "271649006" ];
         fhir:Coding.display [ fhir:value "Systolic blood pressure" ]
       ], [
         fhir:index 2;
         fhir:Coding.system [ fhir:value "http://acme.org/devices/clinical-codes" ];
         fhir:Coding.code [ fhir:value "bp-s" ];
         fhir:Coding.display [ fhir:value "Systolic Blood pressure" ]
       ]
     ];

       ] #    LOINC - always recommended to have a LOINC code   
     ]; #   \n           Observations are often coded in multiple code systems.\n           - LOINC provides a very specific code (though not usefully more specific in this particular case)\n           - snomed provides a clinically relevant code that is usually less granular than LOINC\n           - the source system provides its own code, which may be less or more granular than LOINC\n	 this instance shows the concept. The other codes only have a LOINC code   ,    that shows the concept. The next two names only have a LOINC code   

     fhir:Observation.component.dataAbsentReason [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/data-absent-reason" ];
         fhir:Coding.code [ fhir:value "not-asked" ];
         fhir:Coding.display [ fhir:value "Not Asked" ]
       ]
     ]

     ] #    no value due to some error\n    <valueQuantity>\n      <value value=\"107\"\/>\n      <unit value=\"mm[Hg]\"\/>\n    <\/valueQuantity>\n  

  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:8462-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "8462-4" ];
         fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]
       ]
     ];
     fhir:Observation.component.dataAbsentReason [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/data-absent-reason" ];
         fhir:Coding.code [ fhir:value "not-asked" ];
         fhir:Coding.display [ fhir:value "Not Asked" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

     ] #    no value due to some error\n    <valueQuantity>\n      <value value=\"60\"\/>\n      <unit value=\"mm[Hg]\"\/>\n    <\/valueQuantity>\n  
  ]] . # 


# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Observation/blood-pressure-cancel.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Observation/blood-pressure-cancel.ttl> .

[a owl:Ontology;
  owl:imports fhir:fhir.ttl] .


# -------------------------------------------------------------------------------------

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.